MILWAUKEE HEALTH SERVICES, INC.; NPI #1518005818

Contact Information

MILWAUKEE HEALTH SERVICES, INC.

2555 N DR MARTIN LUTHER KING DR
MILWAUKEE, WI 53212-2709

Phone: 414-267-2021
Fax: 414-372-7420
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center
Community Health	261QC1500X

Indicates primary specialty

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NPI Profile & details for MILWAUKEE HEALTH SERVICES, INC.

NPI Number 1518005818

LBN Legal business name MILWAUKEE HEALTH SERVICES, INC.

Authorized official TITO IZARD - (PRESIDENT CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/01/2007

Last updated 06/18/2021 - About 5 years ago

Identifiers

WI	Medicaid	32831100
WI	Medicaid	32958200
WI	Medicaid	33724600
WI	Medicaid	33743200
WI	Medicaid	33780500
WI	Medicaid	33782900
WI	Medicaid	42183000
WI	Medicaid	43086700
WI	Medicaid	44066400
WI	Other	521804	MEDICAID UGS#
WI	Other	521829	MEDICARE UGS#

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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